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非裔美国女性对社会支持的感知与艾滋病药物治疗依从性

Perceived social support and HIV/AIDS medication adherence among African American women.

作者信息

Edwards Lorece V

机构信息

Department of Health, Behavior, & Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.

出版信息

Qual Health Res. 2006 May;16(5):679-91. doi: 10.1177/1049732305281597.

DOI:10.1177/1049732305281597
PMID:16611972
Abstract

HIV/AIDS incidence is increasing more quickly among women than any other segment of the population. The typical woman with HIV/AIDS is young, in her late 20s, economically challenged, and of childbearing age. Adherence to HIV therapies is critical if patients are to achieve and maintain virologic suppression. The author recruited HIV/AIDS-infected African American women from an outpatient clinic to investigate the women's perceptions of social support and how it affected their medication adherence. She collected data through tape-recorded interviews using a semistructured guide and journaling over a 2-week period. Facilitators of adherence included supportive family members and having young children. Barriers to adherence included perceived stigma, feeling unloved or uncared for, relationship turbulence, and having a husband who was also HIV positive. Although participants reported being "fairly" satisfied with the quality of support they received, emotional support and often instrumental support were most desired and wanted.

摘要

艾滋病毒/艾滋病在女性中的发病率增长速度比其他任何人群都要快。感染艾滋病毒/艾滋病的典型女性年龄在20岁末,年轻、经济困难且处于育龄期。如果患者要实现并维持病毒学抑制,坚持服用艾滋病毒治疗药物至关重要。作者从一家门诊诊所招募了感染艾滋病毒/艾滋病的非裔美国女性,以调查她们对社会支持的看法以及社会支持如何影响她们的药物依从性。她通过使用半结构化指南进行录音访谈和在两周时间内写日记来收集数据。依从性的促进因素包括支持性的家庭成员和育有年幼子女。依从性的障碍包括感知到的耻辱感、感觉不被爱或不被关心、关系动荡以及丈夫也感染了艾滋病毒。尽管参与者报告对所获得的支持质量“相当”满意,但她们最渴望的是情感支持,通常还有实际支持。

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